Inspection on 18/10/06 for Springfield Care Home

This inspection was carried out on 18th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Springfield Care Home 11/01/06

Springfield Care Home 19/10/05

Springfield Care Home 01/02/05

Springfield Care Home 07/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Springfield Care Home Wylam Avenue Darlington Durham DL1 2YN Lead Inspector Bridgit Stockton Unannounced Inspection 11:00 18 October 2006 th X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Springfield Care Home Address Wylam Avenue Darlington Durham DL1 2YN Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01325 468048 01325 354415 www.fshc.co.uk Tamaris Healthcare (England) Limited (wholly owned subsidiary of Four Seasons Health Care Limited) Jean Rhona Reaney Care Home 48 Category(ies) of Dementia (3), Dementia - over 65 years of age registration, with number (48) of places Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th January 2006 Brief Description of the Service: Springfield Care Home is a well established home, built in 1987 and situated in the Springfield area of Darlington. The home is registered to provide residential care for 53 people Accommodation is on two floors with a lift at access the upper floor. All bedrooms are single occupancy, personalised and equipped to meet the needs of the individual service user. There are a number of separate communal lounges and dining rooms available on both the ground and the first floor together with sitting areas. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over a period of 5 hours on the 18th October 2006 2006. The home did not know the inspection was going to take place. The plan for the inspection was to check whether the home had implemented the requirements and recommendations made at the previous inspection; to talk with the residents about living in the home; to meet with care staff and the home’s management team; and to look at records. A pre inspection questionnaire had also been returned to the Commission along with some service users surveys. Some of this information has been included within What the service does well: What has improved since the last inspection? Since the last inspection the way in which service users medication is managed has improved, and a clear audit trail is now in place. All service users care plans have been reviewed and improvements made. An activities organiser has been appointed at the home and service users said that they really enjoyed playing dominos and going to the local shop with her. The communal areas on the upper floor of the home have been refurbished and redecorated and look nice. Some Service users bedrooms have been redecorated and new carpets fitted. The bathroom on the ground floor is undergoing refurbishment and new flooring in toilets has been laid. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,&6 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Prospective service users can be assured that their needs are appropriately assessed prior to admission to the home and that they are given sufficient information to make an informed choice before moving into the home. EVIDENCE: The home’s Statement of Purpose and Service User Guide have been updated. These guides contain information that is required to enable people to make an informed choice about where to live. Evidence was seen that service users or their representatives have signed a contract with the home. The contracts were detailed and included a breakdown of the fees and who was responsible for paying them. The manager confirmed that visits to prospective service users always takes place before their admission to the home, to carry out an assessment of needs. Four care plans examined contained notes from assessments made on this visits. Also, each service users care plans contained assessments from the Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 9 placing authority that were responsible for commissioning the service users care at the home. The home does not provide intermediate care. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Good systems are in place to ensure that health care needs of the service users are met. Service users can be confident that their privacy and dignity is protected and that they are treated with respect. EVIDENCE: A service user plan has been developed for each service user that identifies needs associated with health and personal care. This ensures that staff are clear about what is required of them in meeting service user’s needs. The care plans of four service users were inspected. They were comprehensive and well written. Careful and thoughtful strategies to address particular needs or problems of some service users were well documented and sensitively written. There was evidence of involvement of specialist healthcare people such as the community psychiatric nurse, the dietician and continence nurse. The management and administration of medication is carried out appropriately and audited by the manager on a regular basis. A good working relationship has been made with the local Primary Care Trust pharmacist who had recently visited and audited the way in which service users medication is administered. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 11 Staff were seen to be treating service users with respect and dignity and this was also reflected within the care plans. Service users said that the ‘girls are kind’ and ‘I have nice friends here’. A relative commented ‘ I feel this is a very well run home in which my mother is well cared for and is very happy. This reflects highly on the manager and her staff’ Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The recreational and social needs of service users are well catered for which enables service users to make daily choices and promotes independence. EVIDENCE: The home employs an activities co-ordinators who produced a varied and interesting activities program, appropriate to service users’ needs and interest. On the morning of the inspection some service users had been out to the local newsagent for sweets, whilst other service users were sat listening to music or watching television. One service user had been into the town to choose new bedding for her bedroom. Service users said that the food was good. Observation of the lunchtime meal provided evidence that service users were able to make choices about the meals they wished to eat. There was a calm atmosphere and residents were all sat at tables enjoying a relaxed lunch. Staff were available to assist any service users should they require help over the lunchtime period in a discreet way. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can be confidant that their concerns and complaints are dealt with appropriately and that safeguards are in place to protect them from abuse. EVIDENCE: There are adequate written policies and procedures in place to deal with complaints and the care staff spoken to confirmed they were aware of these. Staffs knowledge of these help ensure that they were able to address any issues or anxieties of the residents, relatives and visitors to the home. Comment cards returned by service users and there representatives evidenced that if people were unhappy with the service they knew who to speak to and were confident that any concerns or complaints would be dealt with. Staff training has taken place in the protection of vulnerable adults in abuse. Staff recruitment procedures were adequate and staff were employed and deployed following appropriate CRB and POVA checks. The manager and staff team were clear and confident in the protection of vulnerable adult procedures. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home was clean, comfortable and well-maintained providing service users with a safe and pleasant environment. EVIDENCE: All of the communal areas of the home were inspected and some individual service users bedrooms. Refurbishment of the upper floor communal areas is now complete. Many of the bedrooms have been redecorated and new bedroom furniture fitted. The refurbished rooms looked very nice and comfortable. Some of the service users had chosen their own wallpaper and bedding. The bathroom on he ground floor was currently undergoing refurbishment. New flooring had been laid to some bathrooms and toilets throughout the building. The home was clean and comfortable all of the comment cards returned by service users said that the standard of cleanliness in the home was good. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The recruitment and training of staff is very good which contributes to the ongoing safety of service users EVIDENCE: The home had staff files in place that provided evidence that the appointment of new members of staff are made through a proper recruitment process. This includes the vetting of staff through the use of references, POVA first checks and Criminal Record Bureau (CRB) checks. All new staff receive a thorough induction and this was documented in the staff files examined. From inspection of the duty rota and from observation, staff are employed and deployed in sufficient numbers to meet the needs of the current client group. 12 out of twenty four staff are trained in NVQ level two in care or above. A further six members of staff are currently working towards obtaining this qualification. Most of the care staff have attended a course on looking after people with dementia and found it very beneficial in improving practice and standards in this area of care. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users can be confident that the home is well managed. Systems and safeguards are in place to ensure the health, safety and welfare of service users and staff is protected. EVIDENCE: There was an open, friendly culture between the management team and the staff at the home. Staff said they felt very well supported in their work. A comment card received from a relative said ‘I feel this home is very well managed’ another comment card said ‘ I find Jean (the manager) very friendly Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 17 and helpful. Couldn’t wish for a better place for mum to be, the manager’s door is always open which is good’. There was evidence is staff files that regular supervision of staff takes place and that staff are appraised. There are good systems in place to measure the quality of service that is provided at the home, and evidence was seen of action that had been taken following audits carried out at the home. Some service users personal allowances are held at the home. Financial policy and procedures are in place to ensure that all transactions can be accounted for. Receipts are retained and signatures obtained for any financial transaction regarding service users money. The homes health and safety file was examined; all equipment in the home is regularly checked with valid certificates issued. There are no outstanding issues from environmental health inspections or the fire and rescue services. Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Springfield Care Home DS0000000753.V304773.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!